Abdominoplasty is designed to remove the excess sagging skin of the abdomen and at the same time tightening the abdominal wall muscles to restore the tone lost during pregnancy. This operation is helpful in women who have relaxed loose abdominal skin following pregnancies or after losing excessive amount of weight by dieting.
If a patient has excessive fat deposits in the abdomen, then it can be suctioned out by lipolysis. If someone has a combination of excessive fat and loose skin, lipolysis and skin resection can be done at the same time. But, Cosmetic surgery cannot help everyone with bulging abdomen-especially those with relatively thin, snug skin but large abdominal contents.
It takes approximately 2 to 4 hours for this surgery and it requires general anaesthesia. The usual hospital stay is 2 to 5 days depending upon the individual’s response to the surgery, where as for liposuction can be discharged on same day.
A long horizontal incision just above the public bone is used of skin above the umbilicus. The skin is separated and lifted from the abdominal muscles all the way upto just below the lower part of the breasts. The skin is pulled down, the excess skin is resected and sutured. During this process of lifting skin and is left in its original place. The loose abdominal muscle is sutured tightly in the midline.
After Lifting the skin and pulling it down, the upper abdominal skin now lies over the Umbilicus. A small hole is made in the skin overlying the Umbilicus which is then brought out through the hole and sutured all around.
Strenuous activities including sports and games are to be limited for about 8 weeks following the surgery.
Results and Complications
After abdominoplasty about 75% to 85% of the patients are very happy with their results, but the remainder is not totally happy, because of their high expectations, technical limitations, healing problems, and fluid collections and poor patient selection. If a transverse incision is used, the resulting scar is usually thin, acceptable and well hidden by the bikini. Some people are poor scar formers, and they could form thick, wide prominent scars than the usual patients.
Conventional abdominoplasty technique requires an extensive incision from one hip region to opposite hip region through whole of lower abdomen. But the endoscopic, abdominoplasty enables us to do abdominoplasty through a small incision about 20cm long only. The incision is deepened upto rectus muscle sheath. Once we reach the rectus sheath the abdomen skin and fat layer can be raised. Then introduce the endoscopic retractor to dissect upto umbilicus and then above the level of umbilicus upto xiphistemum by using the endoscopic needle holder. The whole rectus sheath from xyphisterum upto umbilicus and again from umbilicus to public region is tightened. The excess lower abdomen skin and fat excised.